Organization · Type 2 NPI

Washington St. Tammany Regional Medical Center

Student Health Clinic/Center · Bogalusa, LA

NPI number 1073641866 Active

Practice location

1403 North Ave
Bogalusa, LA 70427-4428

Mailing address

433 Plaza St
Bogalusa, LA 70427-3729

Specialties and licenses

TaxonomyCodeLicense
Student Health Clinic/Center Primary 261QS1000XNone listed

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About NPI 1073641866

Washington St. Tammany Regional Medical Center's National Provider Identifier is 1073641866, issued on Mar 1, 2007. The primary taxonomy on file is Student Health Clinic/Center (261QS1000X), and the practice location is in Bogalusa, LA. The record was last updated on Aug 22, 2020.